Psychological risk factors are related to sympathetic activity according to the heart rate variability parameters during mental stress, orthostatic test and rest in post-cardiac surgery patients

2016 ◽  
Vol 85 ◽  
pp. 56
Author(s):  
M. Beresnevaite ◽  
R. Benetis ◽  
S. Kinduris ◽  
A. Stankus ◽  
E. Sirvinskas
2013 ◽  
Vol 440 ◽  
pp. 140-144
Author(s):  
Shu Cheng Lin ◽  
Ho Cheng Chen ◽  
Shu Wang Lin ◽  
Wei Chin Hong ◽  
Wei Lun Huang ◽  
...  

Purpose: the purpose of this study was to investigate heart rate variability on exercise training post-cardiac surgery. Method: the data collection was from the Chia-yi Christian Hospital Cardiac Surgery implementation of beating heart coronary artery bypass surgery and valve replacement patients. There were a total of 10 patients included in this study. Cardiac patients after discharge from hospital were the participation of exercise training groups (n=5), and no receiving cardiopulmonary physical therapy of patients was the home-based group (n=5). Statistics: Data analysis was conducted using the SPSS statistical software for Windows 20.0. Analysis of covariance (ANCOVA) was used as the statistical method at a significance level (α) of .05. Through statistical analysis and comparison, the results were obtained as below: In HRV time domain portion, SDNN, CV%, results were significant difference. In frequency domain portion, indices such as LF and VHF, results were significant difference. Conclusion: According to the experimental results, the heart rate variability on exercise training better than patients did not participate in sports training after cardiac surgery patient.


1996 ◽  
Vol 27 (2) ◽  
pp. 398-399
Author(s):  
Tohru Kaji ◽  
Tetsuro Kohya ◽  
Fumishi Tomita ◽  
Tomohide Ono ◽  
Akira Kitabatake

Author(s):  
Gill Hubbard ◽  
Chantal den Daas ◽  
Marie Johnston ◽  
Diane Dixon

Abstract Background Investigations about mental health report prevalence rates with fewer studies investigating psychological and social factors influencing mental health during the Covid-19 pandemic. Study aims: (1) identify sociodemographic groups of the adult population at risk of anxiety and depression and (2) determine if the following social and psychological risk factors for poor mental health moderated these direct sociodemographic effects: loneliness, social support, threat perception, illness representations. Methods Cross-sectional nationally representative telephone survey in Scotland in June 2020. If available, validated instruments were used, for example, Patient Health Questionnaire (PHQ-4) to measure anxiety and depression. Simple linear regressions followed by examination of moderation effect. Results A total of 1006 participants; median age 53 years, 61.4% female, from all levels of area deprivation (i.e., 3.8% in the most deprived decile and 15.6% in the most affluent decile). Analyses show associations of anxiety and depression with sociodemographic (age, gender, deprivation), social (social support, loneliness) and psychological factors (perceived threat and illness representations). Mental health was poorer in younger adults, women and people living in the most deprived areas. Age effects were exacerbated by loneliness and illness representations, gender effects by loneliness and illness representations and deprivation effects by loneliness, social support, illness representations and perceived threat. In each case, the moderating variables amplified the detrimental effects of the sociodemographic factors. Conclusions These findings confirm the results of pre-Covid-19 pandemic studies about associations between sociodemographics and mental health. Loneliness, lack of social support and thoughts about Covid-19 exacerbated these effects and offer pointers for pre-emptive action.


2021 ◽  
pp. 193229682110074
Author(s):  
Mats Koeneman ◽  
Marleen Olde Bekkink ◽  
Lian van Meijel ◽  
Sebastian Bredie ◽  
Bastiaan de Galan

Background: People with impaired awareness of hypoglycemia (IAH) are at elevated risk of severe, potentially hazardous, hypoglycemia and would benefit from a device alerting to hypoglycemia. Heart rate variability (HRV) changes with hypoglycemia due to sympathetic activity. Since IAH is associated with suppressed sympathetic activity, we investigated whether hypoglycemia elicits a measurable change in HRV in patients with T1D and IAH. Method: Eligible participants underwent a modified hyperinsulinemic euglycemic hypoglycemic clamp (glucose nadir, 43.1 ± 0.90 mg/dl), while HRV was measured by a VitalConnect HealthPatch. Measurements of HRV included Root Mean Square of the Successive Differences (RMSSD) and low to high frequency (LF:HF) ratio. Wilcoxon rank-sum test was used for testing within-subject HRV changes. Results: We included 12 participants (8 female, mean age 57 ± 12 years, mean HbA1c 57 ± 5 mmol/mol (7.4 ± 0.4%)). Symptoms increased from 4.0 (1.5-7.0) at euglycemia to 7.5 (5.0-11.0) during hypoglycemia ( P = .003). In response to hypoglycemia, the LF:HF ratio and RMSSD increased when normalized for data obtained during euglycemia (both P < .01). The LF:HF ratio increased in 6 participants (50%) and declined in one other participant (8%). The RMSSD decreased in 3 (25%) and increased in 4 (33%) participants. In 2 patients, no change in HRV could be detected in response to hypoglycemia. Conclusions: This study reveals that hypoglycemia-induced changes in HRV are retained in the majority of people with T1D and IAH, and that these changes can be detected by a wearable device. Real-time HRV seems usable for detection of hypoglycemia in patients with IAH.


Author(s):  
Oriol Abellán-Aynés ◽  
Pedro Manonelles ◽  
Fernando Alacid

(1) Background: Research on heart rate variability has increased in recent years and the temperature has not been controlled in some studies assessing repeated measurements. This study aimed to analyze how heart rate variability may change based on environmental temperature during measurement depending on parasympathetic and sympathetic activity variations. (2) Methods: A total of 22 volunteers participated in this study divided into an experimental (n = 12) and control group (n = 10). Each participant was assessed randomly under two different environmental conditions for the experimental group (19 °C and 35 °C) and two identical environmental conditions for the control group (19 °C). During the procedure, heart rate variability measurements were carried out for 10 min. (3) Results: Significantly changes were observed for time and frequency domains as well as Poincaré plot variables after heat exposure (p < 0.05). These findings were not observed in the control group, whose conditions between measurements did not change. (4) Conclusions: The reduction of heart rate variability due to exposure to hot conditions appears to be produced mostly by a parasympathetic withdrawal rather than a sympathetic activation. Therefore, if consecutive measurements have to be carried out, these should always be done under the same temperature conditions.


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